Student Examination Request

Requested By

First Name

Last Name

Gender

Primary Email Address

Primary Phone Number

Studio Information

Name of Studio

Studio Address

City

State

Province

State

Country

Postal Code

Studio Phone

Studio Website

Student Examination Date(s) Request

First Choice Start Date

First Choice End Date

Second Choice Start Date

Second Choice End Date

Third Choice Start Date

Third Choice End Date

Fourth Choice Start Date

Fourth Choice End Date

Please List Any Other Scheduling Preferences

If presenting Levels 4B-7, will any classes be pre-recorded?

Please list Level(s) and number of video submissions

Presenting Teachers

Name(s) of ABT Certified Teacher(s) Presenting Exams. If there is more than one teacher, please specify the level(s) presented by each teacher.

Name(s) of First Time Presenting Teacher(s), if Applicable

Teachers must be currently certified in the levels they are presenting. In the event that the Presenting Teacher's ABT Certification has lapsed, please email curriculum@abt.org to pay the $100 renewal fee plus a $25 maintenance fee.

Examination Policies and Fees

Primary:

Class - 1 hr
Master class - 1 hr
Max - 12 students
Rate - $575 for exam + master class

Level 1:

Class - 1 hr
Master class - 1 hr
Max - 12 students
Rate - $600 for exam + master class

Level 2:

Class - 1 hr 15 min
Master class - 1 hr
Max - 12 students
Rate - $625 for exam + master class

Level 3, including pointe:

Class - 1 hr 45 min
Master class - 1 hr 30 min
Max - 12 students
Rate - $650 for exam + master class

Level 4, including pointe:

Class - 2 hrs
Master class - 1.5 hrs or 2 hrs
Max - 10 students
Rate - $700 for exam + master class

Level 5, including pointe:

Class - 2 hrs
Master class - 2 hrs
Max - 10 students
Rate - $750 for exam + master class

Levels 6 and 7, including pointe:

Class - 2 hrs
Master class - 2 hrs
Max - 10 students
Rate - $800 for exam + master class

Policies:

The flat rate applies to scheduling ABT Student Examinations and includes a Master Class.
Master Class (optional) must be requested in order to be scheduled. Master Classes are scheduled within a 2-week timeframe of exams.

I have read and understand the above policies and 2025 Exam Guidelines

Yes

Acknowledgement and Agreement

I agree to adhere to the ABT Student Examination Guidelines and Class Plans when presenting students for examination. Candidates further agree that by doing the Examination they accept that the Examiner’s decision is final.

A $100 deposit is required for all Student Examination requests. If ABT is able to accommodate your request, this deposit will be applied to your examination fees. Only if ABT is unable to accommodate your requested dates, the deposit will be refunded. Please note: Examiners are assigned at the discretion of ABT NTC Staff; specific examiners may not be requested. If you choose to withdraw your request once it has been approved or your request does not meet the above guidelines, you will forfeit the deposit.

I hereby agree to indemnify and hold harmless ABT and/or the agents/employees and directors of this institution (collectively, the “Indemnified Parties”) for any loss, claim, damage, suit, costs or expenses, including attorneys’ fees and court costs, resulting from or arising out of any injury to any person or damage to property, caused by or incurred by myself, or whether caused in whole or in part by the negligence of the Indemnified Parties, incurred as a result of or during the Online Student Exams, Master Classes or any activities in connection with the ABT National Training Curriculum.

I understand and acknowledge ABT's examination fees and policies

Yes

Electronic Signature

Date

Payment Information

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Payment Amount

Name on Card

Billing Email

Card Number

Code

Hidden Fields

Salesforce Information

Contact Id

Student Examination Request

Salesforce Information

Stripe Information